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Causes of Glandular fever

Glandular fever is caused by the Epstein-Barr virus. It is passed on through saliva and the mucus produced in the nose and throat. Because it’s mainly spread in saliva and through close contact, it is sometimes called ‘the kissing disease.’ It is only rarely passed on through airborne droplets in coughs and sneezes, as it is much less infectious than other viral infections, such as the common cold. A person with glandular fever is most infectious when they have a fever (high temperature).

The Epstein-Barr virus affects cells in the salivary glands and certain white blood cells called B-lymphocytes, which produce antibodies against diseases. The infection begins in the salivary glands, where large amounts of the virus are released into the saliva, and then spread to the B-lymphocytes. These white blood cells then multiply, and cause the lymph glands to swell up and become painful.